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Expression of Interest in Sports Inclusion Disability Programmes
Background Information
*
1.
Personal Details:
(Required.)
Name:
Address:
Mobile No:
Contact Email:
*
2.
Electoral Area:
(Required.)
Donegal
Glenties
Milford
Letterkenny
Buncrana
Lifford-Stranorlar
Carndonagh
*
3.
Child's/Young Person's Age:
(Required.)
*
4.
Please give details on your child's/young person's disability:
(Required.)
Physical
Sensory
Intellectual
Autism Spectrum Disorder
Please provide further details on your child's disability (i.e. are they a wheelchair user, level of ability)
Current Progress,
0 of 12 answered
